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05D0899603 CLIA NUMBER - GARDEN CREST CONVALESCENT HOSPITAL

Laboratory Demographics

CLIA Number: 05D0899603

Facility Name: GARDEN CREST CONVALESCENT HOSPITAL

Facility Address:
909 NORTH LUCILE AVENUE
LOS ANGELES, CA
ZIP 90026
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Facility Phone Number: 213 663-8281

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver
NPI Number: 1861480097

Taxonomy: 314000000X - Skilled Nursing Facility
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

CLIA Record

Field Name Field Value
CLIA Number 05D0899603
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name GARDEN CREST CONVALESCENT HOSPITAL
Street 909 NORTH LUCILE AVENUE
City LOS ANGELES
State CA
ZIP 90026
Phone 213 663-8281
CertificateType 4
CertificateEffectiveDate 4/3/2023
CertificateExpirationDate 4/2/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024